| NPI | 1962524991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2725) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3611) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2016-11-16 |